BUSINESS MEAL CERTIFICATION FOR NON-OVERNIGHT TRAVEL
-160020000FOOD AND BEVERAGE CERTIFICATION FORM Contact E-mail: FORMTEXT ?????Contact Person: FORMTEXT ?????Contact Phone Number: FORMTEXT ?????Date Prepared: FORMTEXT ?????Cardholder Printed Name: FORMTEXT ?????Cardholder E-mail: FORMTEXT ?????Meal and/or Food & Beverage Reimbursement Amount: FORMTEXT ????? Date of Meal and/or Food & Beverage Expense: FORMTEXT ?????Name & Address of Dining Facility: Business Reason: FORMTEXT ?????Recruitment FORMCHECKBOX Training Function FORMCHECKBOX Student Function FORMCHECKBOX FORMTEXT ?????Other FORMCHECKBOX (Explain the nature of the business benefit) FORMTEXT ????? FORMTEXT ?????-7429521780500 Over meal per diem? Choose an item.If yes: Provide additional justification for meal over state limits up to 50% and obtain signature. FORMTEXT ????? FORMTEXT ????? Approving Authority’s Signature ________________________________________________________________ Names of the Meal Participants: Additional participant list or agenda attached? Choose an item.NAMEAFFILIATION1. FORMTEXT ????? FORMTEXT ?????2. FORMTEXT ????? FORMTEXT ?????3. FORMTEXT ????? FORMTEXT ?????4. FORMTEXT ????? FORMTEXT ?????5. FORMTEXT ????? FORMTEXT ?????Instructions for completing this form are included in the JMU FPM, Section .4205.630 Revised 9/21/2017 ................
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